Ongoing tiredness in some. One user, Susan, 58, noted initial drain.
7. Heartburn or Indigestion
Acid reflux-like feel post-meals.
6. Bloating or Gas
Common digestive shift. Extended-release may help.
5. Loss of Appetite
Reduced hunger, sometimes leading to weight changes.

4. Vomiting
Less frequent but disruptive if persistent.
3. Vitamin B12 Deficiency
Long-term use may lower levels, causing tiredness or numbness. Monitoring suggested.
2. Diarrhea
Frequent early on. Often improves with time or dose tweaks.
1. Nausea & Stomach Upset
Top reported—up to 25% experience. Like Maria, 62, who found relief taking with food. But wait, a rare serious one lurks.
Bonus Serious Mention: Lactic Acidosis
Rare but critical—symptoms like muscle pain, breathing issues need urgent care.
continued on next page
For complete cooking times, go to the next page or click the Open button (>), and don't forget to SHARE with your Facebook friends.